HomeMy WebLinkAbout025-190-051r-9),
THOMAS DICKERSON h 185 Ord Ranch Rd, 'ridleyContr: M,I,U. Const,'Socto
Permit#1748-86E(install smoke det/25-19-51
u
I
Permit #1748-86E
Thomas Dickerson
.185 Ord Ranh Rd, Gridle-
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, #liforry'a 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO. �J
f_ -
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNERh
I nw1�5 %%� � r r
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME •// ��� �� !�
/�(/
��HO 73)1
CONTRACTOR'S MAILING ADD
f V' J 2 % IWO 071j
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $ 10,00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESSOY r (,f
Permit fee $
PLUMBING PERMIT Filing Fee 10.00
Each Trap 2.00
F
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL ?44P
/J
Water piping 5.00
Each qas water heater or vent 5.00
Nr r USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
LJ
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home S I G W 10.00ea
TYPE OF WORK
New Addition❑ ,./R.emodeID, Utilioties❑ Installation Other Other
Describe work: j1 t/�iy��. �< ,� I )r Ir /' f i% r"�
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 600V OR LESS 10.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
CONTRACTORS LICENSE LAW
I declare under penaltyperjury
r of p I y (Check One):
;Q I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professio s Code my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. (DWELLING OCCUP.ai) yzQsgft
OR ADONIS. ACC. BLDGS.
NEW CONSTR. ULTI.OUTLET
NON.RESID BRANCH CIRC ITS 2.50 ea
/POWER APPARATUS
(SINGLE OUTLET CIR.
Ex.00Cup(OUTLETSOR FIXTURES 2ALe3t
eAL030
FIXED
Ex. OCCUp. OUTLETS PLINIS R
IRESID IEA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 1 ) 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT FiIingFee 10.00
Heating
Cooling
Hood 3.00
Ventilation
Permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against sa'd oUntyrin consequence of the granting of this permit.
X Id- �/�L��`G-
Date
Signature of A licant Owner
g pp " ❑ Contractor Agent ❑
An OSHA t
permit is.Fequlred for excavations over 5'0" eep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCup*
CONST*TYPFJ
I
I FLOOD
PARCEL
PD
HD
3311E
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTO F° PUB ICjWORKS
/ /
By .+.E SWI .� Date'!
PERMIT EXPIRES Date
�11
Receipt No. �! 7 � `7
WHITE-D.P.W., YELLOW-ASeC330R PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - OroviIIe, 9pIiforf* 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT N
ASSESSOR ARRCEL NU BER
I
ZONING
BUILDING PERMIT
owl
TELEPHONE
SQ. FT. OCC. BUILDING VA ATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
CONTRACTOR' M ILIN}=DDI�F�S�(ry/�\n/
(-�(�1,/7 o//C/U�/
Fireplace
4$
CONSTRUCTION LENDER
NKNOWN
Total Valuation
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS Q�
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
in
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
P
PARCEL 4114
Water piping
5.00
Each qas water heater or ve-it
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 out ets
5.00
Building sewer
5.00
Mobile Home S I G I 'IV
10.00ea
TYPE OF WORK
New ❑ Additio er►/� el Uti l'`ties ❑ 10-ipll tion Ot✓herr
Describe work: �`/ � / !110 s In H/� (' 2 r _ ]_
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 60.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L ,OC AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profess's Code my license is in full force and effect.
License No. Classification
F-1 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.8
OR ADDNS. ACC. BLDGS. , /22sq ft
NEW NON.RESID R. BRANCH CT LETITS 2.50 ea
jj
POWER APPAR4TUS e
(SINGLE OUTLET cIR.
Ex. Occup(OUTLETS OR FIXTURES 20®506
5ALO 90
Ex. QCCUp. OUTLETS (FIXED FRES D )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
W,0 C2
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice o Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgm ts, costs, and expenses which may in any way accrue
against s'd t i, consequence of the granting of this permit.
%c Date
Signature of Appli ant Owner ❑ Contractor Agent ED Agent
An OSHA permit isi equired for excavations over 5'0" ep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OC cup.
CONST.TYPE
–[—FLOOD
PARCEL
PO
ND
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
indicated above for which
Q RECT PUB
By
PER XPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
C ORKS
Date
Receipt No. •)` l
WHITE-D.P.W.. YELLOW -ASSESSOR, INR -INSPECTOR, GOLDENROD -APPLICANT